Basic Information
| Provider Information | |||||||||
| NPI: | 1528310752 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUCK | ||||||||
| FirstName: | HOLLY | ||||||||
| MiddleName: | LOIS | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC,NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 821 W RIDGE AVE | ||||||||
| Address2: | |||||||||
| City: | HARRISON | ||||||||
| State: | AR | ||||||||
| PostalCode: | 726013337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8705773163 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 114 E CRANDALL AVE STE B | ||||||||
| Address2: | |||||||||
| City: | HARRISON | ||||||||
| State: | AR | ||||||||
| PostalCode: | 726013628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8707418484 | ||||||||
| FaxNumber: | 8707414088 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2012 | ||||||||
| LastUpdateDate: | 06/22/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | P1507078 | AR | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.